Mankhwala

Kukonzekera chithandizo cha dialysis
 Ngati njira yobweretsera ya dialyzate idapangidwa ndi mankhwala ophera tizilombo toyambitsa matenda kapena osabala odwala asanalandire
gwiritsani ntchito, onetsetsani kuti mwayesa makina a dialysis kuti palibe zotsalira za germioide ndi a
kuyesa ntchito iyi, molingana ndi malangizo a opanga.
 Ikani chojambulira pamalo ofukula, kumapeto kwenikweni (kufiira) pansi.
 Ikani mitsempha yamagazi ndi venous pamakina a hemodialysis.
 Chotsani zisoti zoteteza magazi za dialyzer ndikulumikiza mwachizindikiro cha arterial ndi
mizere yamagazi a venous kupita ku dialyzer.
 Mwadzidzidzi onjezerani thumba la lita imodzi la saline wosabala 0.9% wokhala ndi IV wothina.
kukhazikitsidwa kwa kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe kake kamene kamakhala kumapeto kwa wodwalayo
magazi.
 Tsegulani cholembera pa seti ya IV .Prime the arterial bloodline,dialyzer, and venous
bloodline pogwiritsa ntchito mpope magazi liwiro pafupifupi 150ml/mphindi.Tayani choyamba
500ml ya yankho.Zipinda zodonthazi ziyenera kusungidwa pafupifupi 3/4 yodzaza.
 Kuyimitsa mpope wa magazi.Lumikizani mitsempha yamagazi ndi venous bloodlines
kuti mapeto a venous ali pansi.Aseptically kulumikiza wodwalayo malekezero a arterial ndi
venous magazi mizere pamodzi pokonzekera recirculation.Open the clamps pa
magazi.
 Tsimikizani kuti dialyzate ili m'malire ovomerezeka omwe ali ndi ma calibrated
kunja conductivity mita.Kudziwa zinthu kumene acetate kapena asidi ndi
zitsulo za bicarbonate sizikufananizidwa bwino, gwiritsani ntchito pepala la PH kapena mita kuti mutsimikizire
kuti pafupifupi pH ili m'gulu la physiologic.
 Gwirizanitsani mzere wa dialyzate ku dialyzer. Lembani gawo la dialyzate.
kukulitsa magwiridwe antchito a dialyzer.kutuluka kwa dialyzate kuyenera kutsutsana ndi
kutuluka kwa magazi.
 Kuzunguliranso mbali ya magazi pa liwiro la 300-400ml/mphindi ndi kutuluka kwa dialyzate.
500ml/mphindi kwa mphindi zosachepera 10-15 Bweretsaninso mpaka mpweya wonse utatha.
kutsukidwa ku dongosolo pamaso kugwirizana kwa wodwala.Continue recirculation ndi
dialyzate mpaka kugwirizana kwa wodwala.
 Wosefera kapena tsitsani 500ml wina wa 0.9% wosabala saline wamba kuti
chigawo cha extracorporeal chatenthedwa ndi madzi okwanira 1 litre kuti muchepetse 4
kutsekereza zotsalira.
 Tayani yankho lalikulu poyambitsa magazi kudzera pa dialyzer
yankho liyenera kuperekedwa kwa wodwala kuti awonjezere kuchuluka kwa madzi, m'malo mwa madzimadzi
kuzungulira ndi saline mwatsopano pamaso ubwenzi ndi wodwalayo.
 Ndiudindo wa Medical Director kuwonetsetsa kuti zotsalira zili
zovomerezeka.